CONFUSED ABOUT
MEDICARE
WORKSHOP
TONI KING
281/830-3896
toni@tonisays.com

1
“To Do” List for People
New to Medicare
Make sure you get your “Welcome Kit”
from Medicare 3-4 months prior to
turning 65 ...
Rules For Enrolling in Medicare

When enrolling in Part B you have an initial 7 month window, 3 months before you
are elig...
Medicare Parts A
Work 10 years
Or 40 quarters
For $0 premium

Part A (Hospital Insurance)
$
deductible
6 times a year
60 d...
MEDICARE Part B
(Medical Insurance)
Monthly
Premium
$

$
deductible
once a year (1 time)
Medicare pays 80%
You pay 20%
Wha...
How Long Has It Been
Since You Have Had A

Medicare Review?
Why Do You Need A

Medicare Review?
$$$$$
6
Medicare Supplement or Medigap Policies
Medicare Supplement is the best there is!
•
•
•
•
•
•

You must have Part A and Pa...
KNOW YOUR ENROLLMENT DATES
Annual Election Period
October 15 – December 7th this year!!
Anyone can enroll into a Medicare
...
Medicare Part C
Part C (Medicare Advantage Plans)
(covers the headaches caused by Parts A, B, D
A way to have your Part A ...
Medicare Part D
(Prescription Drug Plans)
Helps cover prescription drug costs
Has Co-pays and most important
the DONUT

HO...
What is the “Donut Hole”????
The “Donut Hole” starts at $_____.00 and you must spend
$______.00 out of your pocket to get ...
YOU PAY

%

DRUG CO. PAYS

%

of CERTAIN brand name drugs
until you reach

$______

12
Just
Released!!
Confused
About
Medicare
Workshop
Available in
DVD & CD
www.ToniSays.com
SIGN UP FOR THE NEW
MEDICARE SURVIVAL GUIDE
NEWSLETTER

TONI KING
281/830-3896
toni@tonisays.com
14
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Medicare workshop

  1. 1. CONFUSED ABOUT MEDICARE WORKSHOP TONI KING 281/830-3896 toni@tonisays.com 1
  2. 2. “To Do” List for People New to Medicare Make sure you get your “Welcome Kit” from Medicare 3-4 months prior to turning 65 or if under 65, when you are approved for Medicare Make sure you have Medicare “Part B” (Medical Care) on your Medicare Red, White and Blue Card 2
  3. 3. Rules For Enrolling in Medicare When enrolling in Part B you have an initial 7 month window, 3 months before you are eligible for Part B, the month of, and 3 months after. If you do not enroll in Part B when you are eligible and want to enroll later you will be penalized 10% each year you could have been on B but did not enroll. 3 year wait=3x10% or 30% each month forever… Currently Part B premium is $104.90 so that would be $104.90 plus 30% each month of that year!!!
  4. 4. Medicare Parts A Work 10 years Or 40 quarters For $0 premium Part A (Hospital Insurance) $ deductible 6 times a year 60 day benefit Pays .…. the Hospital ….. Some cost of Skilled Nursing ….. Hospice ……Home Health Care Pays Nothing for ….. Long Term Care ….. Out Patient Services 4
  5. 5. MEDICARE Part B (Medical Insurance) Monthly Premium $ $ deductible once a year (1 time) Medicare pays 80% You pay 20% What Part B pays for: … Medically necessary services … Doctors, tests, … Outpatient care and … Preventative services
  6. 6. How Long Has It Been Since You Have Had A Medicare Review? Why Do You Need A Medicare Review? $$$$$ 6
  7. 7. Medicare Supplement or Medigap Policies Medicare Supplement is the best there is! • • • • • • You must have Part A and Part B Enroll at the right time to get Guaranteed Issue! Works only with Original Medicare (your Red, White and Blue Card) The cost goes up each year! A supplement does not have Part D Medicare Prescription Drug Plan Must enroll in a Medicare Prescription Drug Plan to have drug coverage $ $ $$$$ $ $ $ 7
  8. 8. KNOW YOUR ENROLLMENT DATES Annual Election Period October 15 – December 7th this year!! Anyone can enroll into a Medicare Advantage Plan OR make changes to another Medicare Advantage Plan. Anyone with a Medicare Prescription Drug Plan CAN ONLY change during this period 8
  9. 9. Medicare Part C Part C (Medicare Advantage Plans) (covers the headaches caused by Parts A, B, D A way to have your Part A and Part B deductibles and Co-pays paid. But you must obey the RULES RULES Rule RULE – You must stay in network and use their doctors RULE – DO NOT use your Red, White and Blue Rule Medicare card Rule – OBEY THEIR RULES 9
  10. 10. Medicare Part D (Prescription Drug Plans) Helps cover prescription drug costs Has Co-pays and most important the DONUT HOLE!! Must enroll at the RIGHT time or you will be PENALIZED 10
  11. 11. What is the “Donut Hole”???? The “Donut Hole” starts at $_____.00 and you must spend $______.00 out of your pocket to get back into your plan! Confusing … I know!!! Monthly Copay what Mary paid Insurance Company Pays Total Drug Cost January $416.00 $520.00 February DONUT HOLE $104.00 $208.00 $832.00 $1,040.00 March $312.00 $1,248.00 $1,560.00 April $416.00 $1,664.00 $2,080.00 May $520.00 $2,080.00 $2,600.00 June $654.00 plus $2,186.00 Mary gets in the donut hole $2,970.00 July $1,174.00 August $1,694.00 September $2,214.00 October $2,734.00 November $3,254.00 December $3,774.00 Mary will never get into catastrophic coverage. Mary never Mary never Marynever gets out of gets hole! of gets out of the out the HOLE! the HOLE! 11
  12. 12. YOU PAY % DRUG CO. PAYS % of CERTAIN brand name drugs until you reach $______ 12
  13. 13. Just Released!! Confused About Medicare Workshop Available in DVD & CD www.ToniSays.com
  14. 14. SIGN UP FOR THE NEW MEDICARE SURVIVAL GUIDE NEWSLETTER TONI KING 281/830-3896 toni@tonisays.com 14

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